{"id":52479,"date":"2020-11-19T11:52:24","date_gmt":"2020-11-19T10:52:24","guid":{"rendered":"https:\/\/khymeia.com\/?post_type=document&#038;p=52479"},"modified":"2022-10-21T11:53:24","modified_gmt":"2022-10-21T09:53:24","slug":"functional-changes-in-the-lower-extremity-after-non-immersive-virtual-reality-and-physiotherapy-following-stroke","status":"publish","type":"document","link":"https:\/\/khymeia.com\/it\/document\/functional-changes-in-the-lower-extremity-after-non-immersive-virtual-reality-and-physiotherapy-following-stroke\/","title":{"rendered":"Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke"},"content":{"rendered":"<p><strong>Objective<\/strong>: To analyse the effect of virtual reality (VR) ther-apy combined with conventional physiotherapy on balance, gait and motor functional disturbances, and to determine whether there is an influence on motor recovery in the subacute (&lt; 6 months) or chronic (&gt; 6 months) phases after stroke.<\/p>\n<p><strong>Methods<\/strong>: A total of 59 stroke inpatients (mean age 60. 3 years (standard deviation (SD) 14. 8); 14. 0 months (SD 25. 7) post-stroke) were stratified into 2 groups: subacute (n\u2009\u2009=\u2009\u200931) and chronic (n\u2009\u2009=\u2009\u200928). Clinical scales (Fugl-Meyer lower extremity (FM LE); Functional Independence Measure (FIM); Berg Balance Scale (BBS); Functional Ambulation Category (FAC); modified Ashworth scale (MAS); 10-metre walk test (10MWT); and kinematic parameters during specific motor tasks in sitting and standing position (speed; time; jerk; spatial error; length) were applied before and after treatment. The VR treatment lasted for 15 sessions, 5 days\/week, 1 h\/day.<\/p>\n<p><strong>Results<\/strong>: The subacute group underwent significant change in all variables, except MAS and length. The chronic group underwent significant improvement in clinical scales, except MAS and kinematics. Motor impairment improved in the severe \u2264\u200919 FM LE points, moderate 20\u201328 FM LE points, mild \u2265\u200929 FM LE points. Neither time since stroke onset nor affected hemisphere differed significantly between groups. The correlations were investigated between the clinical scales and the kinematic parameters of the whole sample. Moreover, FM LE, BBS, MAS, and speed showed high correlations (R2&gt;\u20090. 70) with independent variables.<\/p>\n<p><strong>Conclusion<\/strong>: VR therapy combined with conventional physiotherapy can contribute to func-tional improvement in the subacute and chronic phases after stroke.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective: To analyse the effect of virtual reality <a href=\"https:\/\/khymeia.com\/it\/document\/functional-changes-in-the-lower-extremity-after-non-immersive-virtual-reality-and-physiotherapy-following-stroke\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":52167,"parent":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"document-category":[14],"class_list":["post-52479","document","type-document","status-publish","has-post-thumbnail","hentry","document-category-validazioni"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke - Khymeia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/khymeia.com\/it\/document\/functional-changes-in-the-lower-extremity-after-non-immersive-virtual-reality-and-physiotherapy-following-stroke\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Functional changes in the lower extremity after non-immersive virtual reality and physiotherapy following stroke - Khymeia\" \/>\n<meta property=\"og:description\" content=\"Objective: To analyse the effect of virtual reality ... 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